WEST COAST RETINA – NPI #1053389064
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

WEST COAST RETINA is an ophthalmologist located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1053389064 to WEST COAST RETINA on March 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST COAST RETINA” is a dba name, the actual legal business name for this organization is WEST COAST RETINA MEDICAL GROUP, INC.. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 6 years ago on Feb 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST COAST RETINA below.

NPI Profile for
WEST COAST RETINA MEDICAL GROUP, INC.

NPI Number
1053389064
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST COAST RETINA MEDICAL GROUP, INC.
Doing Business As (dba): WEST COAST RETINA
Primary location
1445 BUSH ST
SAN FRANCISCO, CA 94109-5520
Phone: (415) 972-4600 Fax: (415) 975-0999
4 Other location(s):
100 Tamal Plz Ste 120
Corte Madera, CA 94925-1176
Phone: (415) 927-6600
Fax: (415) 891-3329
400 30th St
Oakland, CA 94609-3306
Phone: (510) 268-8277
Fax: (510) 350-8803
101 S San Mateo Dr Ste 265
San Mateo, CA 94401-3819
Phone: (650) 342-7137
1981 N Broadway Ste 265
Walnut Creek, CA 94596-3827
Phone: (925) 295-1727
Fax: (925) 954-7029
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BENJAMIN HIGGINBOTHAM
COO
Phone: (415) 972-4626
Updated
Certification Date
Feb 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.